Question 1

i have a moderate size inferior acromion spur and minimal fluid in the subacromial subdeltoid bursa. i'm in a lot of pain. does this make sense?

Accepted Answer

No: Likely your pain is more than just these findings. There are many injuries to the muscle and fascia of the shoulder that can be part of your pain. Food choices can also cause a tremendous amount of inflammatory pain. You might try a massage to see what muscles are really tender.
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Question 2

mri of right shoulder findings says normal variant os acromiale. very small glenohumeral joint effusion. trace fluid in the subacromial-subdeltoid bursa. can someone explain what this means? it doesnt seem like much. i have shoulder pain all day?

Accepted Answer

: Os Acromiale is essentially an unfused area of calcification in the shoulder joint. This condition is commonly associated with impingement of the shoulder muscles and rotator cuff tendonitis (inflammation of one of the rotator cuff muscles). The effusion is swelling within the joint space. The bursa is a pad that protects the muscle from rubbing on the bone. Hope this helps.

Question 3

no fluid present in the subacromial subdeltoid bursa moderate edema seen along the fibers of the infraspinatus muscle ? what does that mean . this was due to a auto accident 2 yrs ago .

Accepted Answer

This : This appears to be from a MRI report.  It is best to discuss the findings with the treating physician, who has had a chance to take a full history and examine you.

These findings sound unremarkable in isolation.  The comment on fluid is usually looking for inflammation in the bursae.  If there is no significant signal of increased fluid, it is unremarkable.  The edema in the infraspinatus muscle may be some fluid signal with no clinical significance.  Most people with rotator cuff problems have tearing of the supraspinatus muscle first, with extension into the infraspinatus only for larger tears.  The "edema" may also be normal for your age.  Of note, most rotator cuff tears are degenerative and not related to a specific injury, again depending on your age.

Again, clinical correlation is always best and you should go over the study with your physician.

Question 4

what is partial thickness tear of the subacromial subdeltoid bursa with fluid?

Accepted Answer

Incomplete tear: You most likely have a partial thickness tear of the supraspinatus tendon, one of the rotator cuff muscles, with fluid in the subdeltoid/subacromial bursa.  A bursa is a fluid filled sac that decreases friction wear tendon rubs over or attaches to bone.  The tear is not completely all the way through, similarly to a partially frayed rope.  The fluid in the bursa is a result of the tear.

Question 5

what does artifact on the proton axial sequence suggesting a longitudinal split mean on a mri? what does fluid in the subdeltoid and subacromial bursa

Accepted Answer

Possible tear: From your question it sounds like the images show something along the length of a tendon that could be from artifact or a tear. Fluid in the subdeltoid and subacromial bursa are secondary findings of a rotator cuff tendon tear. Rotator cuff tendon tear can happen in along the grain of the tendon (a longitudinal split) or across the grain of the tendon which shows up as a discontinuous tendon.

Question 6

do i need surgery for fluid in the subcromial/subdeltoid bursa and a high grade partial thickness articulare sided tear supraspinatus tendon?

Accepted Answer

Varies: Full thickness tears of the rotator cuff will often retract and not heal; so if someone is young and reasonably active surgery usually optimizes outcome.  Partial tears can heal at times without surgery.  A high grade partial tear is very close to a complete tear; you would certainly want to be followed closely by an orthopedic surgeon to discuss your progress.

Question 7

small amount of fluid within the subacrominal subdeltoid bursa which may reflect in bursitis in the absence of visualized full thickness r-cuff tear?

Accepted Answer

Inflamed bursa: A bursa is a small sac that often cushions an area around a bony prominence and also often sits next to tendon. Subacromial bursitis often accompanies a significant rotator cuff tear and less commonly, can occur by itself as a result of inflammation. Treatment can include rest from aggravating activities, anti-inflammatory meds, physical therapy and corticosteroid injections.

Question 8

what can be done for a tiny amount of fluid in subdeltoid bursa?

Accepted Answer

Bursitis treatment: Subacromial bursal fluid can arise from an irritated bursa, a partial or full thickness rotator cuff tear, or injured acromioclavicular joint. Management depends upon the gravity and etiology. Steroid injections may be useful for any/all entities mentioned, combined with physical therapy, rest, &amp; NSAIDs. Surgery may be necessary for recalcitrant symptoms that are unresponsive to nonop therapy &gt; 3m

Question 9

hi. was just wondering what the normal thickness in mm of a subdeltoid bursa is?thanks.

Accepted Answer

Sub deltoid bursa: Normally less than 2mm or so.

Question 10

can a partially torn infraspinatus tendon, 2 bone spurs, and an inflamed subdeltoid bursa be causing my daily headaches?

Accepted Answer

Possibly: Pain in the shoulder area can cause a person to guard the area using the neck muscles as a backup. This tension in the neck can contribute to a person to experience more frequent tension headaches.

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Doctor answers about:

Fluid in the subacromial subdeltoid bursa

A member asked:

I have a moderate size inferior acromion spur and minimal fluid in the subacromial subdeltoid bursa. i'm in a lot of pain. does this make sense?

A member asked:

Mri of right shoulder findings says normal variant os acromiale. very small glenohumeral joint effusion. trace fluid in the subacromial-subdeltoid bursa. can someone explain what this means? it doesnt seem like much. i have shoulder pain all day?

A member asked:

No fluid present in the subacromial subdeltoid bursa moderate edema seen along the fibers of the infraspinatus muscle ? what does that mean . this was due to a auto accident 2 yrs ago .

A member asked:

What is partial thickness tear of the subacromial subdeltoid bursa with fluid?

A member asked:

What does artifact on the proton axial sequence suggesting a longitudinal split mean on a mri? what does fluid in the subdeltoid and subacromial bursa

A member asked:

Do i need surgery for fluid in the subcromial/subdeltoid bursa and a high grade partial thickness articulare sided tear supraspinatus tendon?

A member asked:

Small amount of fluid within the subacrominal subdeltoid bursa which may reflect in bursitis in the absence of visualized full thickness r-cuff tear?

A member asked:

What can be done for a tiny amount of fluid in subdeltoid bursa?

A member asked:

Hi. was just wondering what the normal thickness in mm of a subdeltoid bursa is?thanks.

A member asked:

Can a partially torn infraspinatus tendon, 2 bone spurs, and an inflamed subdeltoid bursa be causing my daily headaches?

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